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The skills youll learn will help prepare you for a career as a stock control clerk, parts clerk or storekeeper with factories, repair shops, department stores and government warehouses and stockrooms.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation,commercial and government payors (i.e. Medicare, Medi-Cal, TriCare, etc) and how these payors process claims.
$26 - $32 an hourExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Will be knowledgeable of state and federal government funding programs such as Medicare, Medicaid, TRICARE/CHAMPUS, Workers' Compensation; No Fault Auto, and commercial insurance payers.
Part-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Working knowledge or familiarity with Managed Care, State and Federal health care programs (e.g. Medicaid, Medicare, TRICARE, VA Community Care Network), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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State and federal government funding programs such as Medicare, Medi-Cal, CCS, TRICARE/CHAMPUS, Workers' Compensation; and commercial insurance payers; billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; medical and insurance terminology; HIPAA privacy and compliance practices.
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As TriWest’s hybrid cloud and cybersecurity services partner, IBM is responsible for the delivery of the TRICARE Managed Care Support (MCS) T-5 contract. IBM’s scope is to provide hosting, platform engineering, infrastructure automation, managed operations, and security and compliance of the T-5 environments in Microsoft Azure for Government (MAG.
$81,000 - $151,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Strong familiarity and understanding of the CHCS, TRICARE Region 1 Policies, and Department of Defense Health Affairs guidance. Access will be granted by local MTF connectivity and the contractor shall comply with MHS communications and Government IT security standards and policies.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Lead financial expert for product launches by providing benchmarking and insights on GTN liabilities across government and commercial channels, including managed care contract, Medicaid, 340B, Tricare, returns, co-pay, prompt pay, Distributor fees, and Coverage Gap.
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The Exec. Director is responsible for the development, implementation, communication, and monitoring of all compliance activities and regulatory guidance for the Plans' four payer lines of business, consisting of Medicare Advantage, Medicaid managed care, the Department of Defense's TriCare program and commercial employer group (self-funded.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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As a Government Solutions Autism Care Navigator reporting to a Clinical Steward, you will be a trusted go-to resource for beneficiaries in the Autism Care Demonstration. Ensure any co-morbid diagnosis are treated or addressed by evidenced based medical interventions through TRICARE benefit and/or State/Federal and local level resources.
RemoteExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Oversee Medicaid claims, Tricare and Coverage Gap processing operations with Third Party vendor and coordination of quarterly cash flow monitoring with Treasury. Ensure approval workflow of Medicaid, Tricare and Coverage Gap claims follows approval matrix and completes within payment due date cycle.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Technical Skills: Working knowledge or familiarity with Managed Care, State and Federal health care programs (e.g. Medicaid, Medicare, TRICARE, VA Community Care Network), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel.
Full-timeExpandUpdated 6 days ago - UpvoteDownvoteShare Job
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Senior Billing and Collections Representative *Remote*Under the direction of the PFS Manager, the Senior Government Billing and Collections Representative is responsible for a variety of payer yield activities related to accounts reimbursed by a government payer, including Medicare, Medicaid, TRICARE, and Veterans Administration, among others.
$27.31Full-timeRemoteExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Excellent knowledge of Government Programs, including Medicare (CPT, ICD coding/reimbursement, and Medicare Fraud & Abuse regulations), Medicaid and Tricare Programs. The Sr. Analyst recommends changes that will positively impact the Revenue Cycle and help Piedmont Healthcare (PHC) operate according to industry benchmarks and meet A/R performance goals and productivity.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Responsible for Product Sales Discounts and Rebate Tracking and Estimates for Managed Care Contracts, Part D Contracts, Co-Pay Card programs, Wholesaler Fees, Medicaid, FSS/PHS chargebacks, Tricare, Patient Discount Programs, Government / GPO chargebacks and Part D Donut Hole.
ExpandApply NowActive JobUpdated 9 days ago
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